February 2017

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Cover Story

3D PRINTING OF FOOT ORTHOSES: Clinical feasibility and cost-benefit analyses

Several technical issues currently limit the cost effectiveness of 3D-printing custom foot orthoses, but these will likely be addressed in the near future with the emergence of larger and faster 3D printers.

By Steven Hoeffner, PhD; Timothy Pruett; Breanne Przestrzelski, MS; Brian Kaluf, CP; Nikki Hooks, CO; Katelyn Ragland; Shannon Hall; Kyle Walker; Dan Ballard, CPed; and John DesJardins, PhD

Editor Message

Out on a limb: Her head’s in the game

It’s more difficult to assess the effects of head impacts in female lacrosse players than in their male counter­parts. But it’s no less important, particularly with regard to lower extremity injury prevention.

By Jordana Bieze Foster, Editor


Does history of running protect against knee OA?

Running may increase the risk of knee osteoarthritis (OA) onset or progression for some people, but in many others the knees will be safe during running; in such individuals, the benefits of physical activity can positively affect weight management and other means of reducing OA risk.

By Nicole M. Cattano, PhD, LAT, ATC; and Jeffrey B. Driban, PhD, ATC, CSCS

Managing O&P patients who are hard on devices

Even patients who obediently wear their O&P devices can pose a clinical challenge if they wear their devices past the point of breakdown. Experts offer suggestions for dealing with patients who are hard on devices—including those who are very large, very active, or very frugal.

By Shalmali Pal

Basketball shoe trends favor fashion over feet

Several confounding factors make it difficult to determine statistical associations between footwear and injuries in basketball, but attitudes toward shoes among National Basketball Association (NBA) players suggest both positive and negative trends with regard to potential injury risk.

By Will Carroll

Jump mechanics and risk of patellar tendinopathy

To understand the association between jumping biomechanics and transmission of forces through the patellar tendon, practitioners must have a working knowledge of the anatomy of the knee, as well as the biomechanical factors that determine force transmission through the knee.

By Rob Halle, PT, DPT, OCS, CSCS


In the Moment: Sports Medicine

Subconcussive subtleties: Lacrosse study links balance, impacts

Measures of cumulative subconcussive head impacts during a men’s lacrosse season are associated with decreases in balance scores from pre- to postseason, according to findings from Sacred Heart University in Fairfield, CT, that could have implications for lower extremity injury risk.

By Katie Bell

Stiffer shoes improve running energetics as long as first MTP flexion is preserved

Increasing running shoe bending stiffness helps improve running energetics up to the point at which it impairs metatarsophalangeal (MTP) joint flexion—a threshold that varies between individuals—according to research from the Republic of Korea.

By Jordana Bieze Foster

Long after return to play, ACL injury takes toll on perceived knee function

Perceived knee function is poorer in athletes who successfully return to play after an anterior cruciate ligament (ACL) injury than in their uninjured counterparts, despite no strength or balance differences between the groups, according to research from Norway.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

Viamet antifungal appears effective, safe

Research Triangle Park, NC-based Viamet Pharmaceuticals in January reported positive results from its Phase 2b randomized controlled trial of VT-1161 for onychomycosis of the large toenail. VT-1161 is a novel, once-weekly, oral antifungal drug.

McGirt joins Össur’s knee OA campaign

Foothill Ranch, CA-based Össur in February launched a public education campaign on knee osteoarthritis (OA) featuring professional golfer William McGirt.

Birkenstock brings vegan sandals to US

Novato, CA-based Birkenstock USA in January introduced vegan footwear, previously available only in Europe, to US markets.

Apligraf alters genomics of chronic wounds

Science Translational Medicine on January 4 epublished randomized clinical trial results showing Organogenesis’s bioengineered living-cell wound-healing therapy demonstrated a significant change in the genomic profile of treated nonhealing venous leg ulcers (VLUs) compared with standard care.

Hanger prosthetist teaches AFO design

A prosthetist from Austin, TX-based Hanger in January volunteered his knowledge to a Missouri middle school project that had students designing cardboard and foam ankle brace prototypes that could be used by patients with spastic hemiplegia.

ACFAS installs 2017 officers and board

The Chicago-based American College of Foot and Ankle Surgeons (ACFAS) in February installed its 2017-2018 officers and board of directors during the national surgical society’s 75th Annual Scientific Conference in Las Vegas.

GE Healthcare, NBA call for proposals

Chicago-based GE Healthcare and the National Basketball Association (NBA) in January announced four newly selected research initiatives and issued a call for a third round of research proposals focused on bone stress injuries for the organizations’ Orthopedics and Sports Medicine Collaboration.

OPAF announces 2017 board, sponsor

The Charlotte, NC-based Orthotic & Prosthetic Activities Foundation (OPAF) in January welcomed two new board members for fiscal year 2017.

NYSPMA draws 2K for podiatric event

Two members of the New York State Podiatric Medical Association (NYSPMA) Foundation were recognized in January for outstanding achievements at NY17, the group’s Podiatric Clinical Conference and Exhibition.

AOPA celebrates its 100th anniversary

The Washington, DC-based Amer­ican Orthotic & Prosthetic Association (AOPA) in February unveiled a commemorative website, AOPA100.org, as part of the association’s yearlong celebration of its 100th anniversary. The website features AOPA’s history, an interactive timeline, photo gallery, personal stories from AOPA members, and AOPA’s plans for the future.

2020 global brace mkt estimated at $4.3B

The global orthopedic brace market is expected to reach $4.3 billion by 2020, at a CAGR (compound annual growth rate) of 5% from 2015 to 2020, according to data published in January by Frampton, UK-based BioPortfolio Reports.

Avex raises $7.6M for Footbeat launch

Grand Junction, CO-based Avex announced in January that it has secured $7.6 million in Series A financing to fund its Q1 launch of Footbeat, an insole designed to increase circulation through cyclic pressure applied to the arch of the foot.

Bone Index device gets FDA clearance

Kupio, Finland-based Bone Index in January received 510(k) clearance from the US Food and Drug Administration for its second-generation point-of-care device for osteoporosis diagnosis.


Dr. Harvey’s Herbal Motion

Dr. Harvey’s Herbal Motion is a new cream developed by New York orthopedic surgeon Harvey Manes, MD, to help soothe aches and pains with all natural ingredients as an alternative to anti-inflammatory drugs and chemical-based creams. The formula includes capsaicin…

PDE Orthosis From Fabtech

Fabtech Systems offers the new PDE (posterior dynamic element) Orthosis, an advanced below-knee composite orthosis utilizing the PDE modular composite spring system for a range of orthotic applications including ankle and calf weakness.

Abeo Biomechanical Footwear

Abeo biomechanical footwear promotes comfort, mobility, and overall health and wellness, along with classic footwear designs. Product lines include B.I.O.system (stands for built-in orthotics) sandals and shoes, AeroSystem athletic performance footwear…

Support the Foot Quick Tape

New from Support the Foot is Quick Tape, a one-piece foot tape that offers a convenient alternative to low Dye taping. Clinicians can now ditch the scissors, adhesive spray, and different sizes of tape for one easy and efficient Quick Tape application.

STS Trans-Tibial Molding Sock

The STS Company has announced the addition of a new molding sock to its family of casting materials. The Trans-Tibial sock, developed as a part of a postoperative rigid dressing system introduced recently in Australia, is suited for obtaining a negative…

Tetra-Flex Clip-Free Bandage

Tetra announces the Tetra-Flex CF (clip free) Woven Elastic Bandage. Tetra-Flex CF is a premium weave of Spandex and selected long-staple cotton providing maximum compression and durability, and its new self-closure system now makes it easy to apply and…

SPIO Lower Body Orthosis

The SPIO Lower Body Orthosis is designed to assist with gait and stability in pediatric patients with spastic diplegia, hypotonia, Down syndrome, ataxia, autism, and sensory processing disorder, as well as other diagnoses. The specially milled fabric is lightweight…

Anti-embolism Stockings

Sigvaris offers a new generation of anti-embolism stockings to help prevent deep venous thrombosis and provide the benefits of graduated compression for patients transitioning from recovery to early rehabilitation. Available in calf-length and…

Travel Shoes for Spring & Summer

Arcopedico USA introduces new fun and flirty travel shoes for Spring/Summer 2017, designed to be packable, lightweight, breathable, and circulation-supporting. The new Stripe shoe is a ballerina-style slip-on with a sculpted satin/cotton upper in a…

Catalyst-Propel Knee OA Brace

Designed to reduce the pain of knee osteoarthritis and increase stability, the Catalyst-Propel OA prioritizes patient comfort to help maximize compliance and outcomes. The Catalyst-Propel OA’s defining features are its dual Q-hinges, which enable adjustment of overall…

VibraCool Vibrational Cryotherapy

VibraCool Vibrational Cryotherapy is a wearable, FDA-cleared pain relief device that provides simple, serious relief for iliotibial band pain, plantar fasciitis, osteoarthritis, and other acute and overuse injuries. VibraCool’s Cool-Pulse technology leverages the…

MD Orthopaedics ADM Brace

MD Orthopaedics introduces the Abduction Dorsiflexion Mechanism (ADM), a new generation of foot abduction bracing for babies and children with clubfoot and other conditions that result in equinovarus or supination. The ADM enables new bracing strategies…